Deans' stroke musings: Thrombectomy 'Reasonable' in Stroke Patients With Large Cores

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Tuesday, July 30, 2019

Thrombectomy 'Reasonable' in Stroke Patients With Large Cores

At a minimum our fucking failures of stroke associations should have a stroke research translator to readable English for stroke survivors. This doesn't meet any readable standard. How the hell are we going to tell our doctors what needs to be done?

Thrombectomy 'Reasonable' in Stroke Patients With Large Cores

Faster treatment may be especially important in this population

by Nicole Lou, Contributing Writer, MedPage Today July 29, 2019

Potential(weasel words so useless) benefit cannot be ruled out for endovascular thrombectomy in acute ischemic stroke patients with substantial ischemic cores, according to a secondary analysis of the SELECT study.
Those who received mechanical thrombectomy were more likely to show functional independence at 90 days (modified Rankin Scale [mRS] score 0-2) than if they had gotten medical management alone (31% vs 14%, OR 3.27, 95% CI 1.11-9.62).
But after accounting for baseline differences in SELECT -- such as the latter group waiting longer to get treatment and presenting with larger ischemic cores -- the difference was no more (adjusted OR 3.95, 95% CI 0.62-25.35), reported Amrou Sarraj, MD, of University of Texas McGovern Medical School in Houston, in JAMA Neurology.